Role of Play-based Intervention in Managing Selective Mutism in a Young Child: A Case Study

Lee Sook Huey, Saw Jo Anne, Fatanah Ramlee
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Abstract

The available literature on play-based intervention for young children with selective mutism is limited. This case report describes the use of play therapy for a 6-year-old girl with selective mutism. The therapist used a child-centred play approach to establish rapport and engage in defocused communication and gradually introduced more directive play as part of stimulus fading. The improved score on the Selective Mutism Questionnaire (SMQ) indicated an increased frequency of verbalisation in various social settings. This case study suggests that play-based intervention provided a safe and engaging environment for young children with selective mutism to facilitate habituation to verbalise in social situations. This case report provides insights into the benefits of incorporating play therapy for young children with selective mutism.
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游戏式干预在治疗幼儿选择性失语症中的作用:案例研究
有关对患有选择性缄默症的幼儿进行游戏干预的现有文献十分有限。本病例报告描述了对一名患有选择性缄默症的 6 岁女孩使用游戏疗法的情况。治疗师采用了以儿童为中心的游戏方法来建立融洽关系和进行失焦交流,并逐渐引入更具指导性的游戏作为刺激消退的一部分。选择性缄默症问卷(SMQ)得分的提高表明,女孩在各种社交场合的言语表达频率增加了。本案例研究表明,以游戏为基础的干预为患有选择性缄默症的幼儿提供了一个安全和有吸引力的环境,以促进他们在社交场合中的言语习惯。本病例报告让我们了解了将游戏疗法纳入选择性缄默症幼儿治疗的益处。
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